Title |
Caring for quality of care: symbolic violence and the bureaucracies of audit
|
---|---|
Published in |
BMC Medical Ethics, May 2015
|
DOI | 10.1186/s12910-015-0006-z |
Pubmed ID | |
Authors |
Nathan Emmerich, Deborah Swinglehurst, Jo Maybin, Sophie Park, Sally Quilligan |
Abstract |
This article considers the moral notion of care in the context of Quality of Care discourses. Whilst care has clear normative implications for the delivery of health care it is less clear how Quality of Care, something that is centrally involved in the governance of UK health care, relates to practice. This paper presents a social and ethical analysis of Quality of Care in the light of the moral notion of care and Bourdieu's conception of symbolic violence. We argue that Quality of Care bureaucracies show significant potential for symbolic violence or the domination of practice and health care professionals. This generates problematic, and unintended, consequences that can displace the goals of practice. Quality of Care bureaucracies may have unintended consequences for the practice of health care. Consistent with feminist conceptions of care, Quality of Care 'audits' should be reconfigured so as to offer a more nuanced and responsive form of evaluation. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 6 | 38% |
Spain | 3 | 19% |
United States | 1 | 6% |
Netherlands | 1 | 6% |
Timor-Leste | 1 | 6% |
Unknown | 4 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 44% |
Scientists | 5 | 31% |
Practitioners (doctors, other healthcare professionals) | 3 | 19% |
Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 2 | 3% |
United States | 1 | 2% |
United Kingdom | 1 | 2% |
Unknown | 61 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 12 | 18% |
Student > Ph. D. Student | 11 | 17% |
Researcher | 5 | 8% |
Student > Doctoral Student | 5 | 8% |
Lecturer | 5 | 8% |
Other | 14 | 22% |
Unknown | 13 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 16 | 25% |
Medicine and Dentistry | 11 | 17% |
Nursing and Health Professions | 8 | 12% |
Business, Management and Accounting | 6 | 9% |
Philosophy | 2 | 3% |
Other | 7 | 11% |
Unknown | 15 | 23% |